Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEVADA WOUND CARE CLINIC LLC
NPI 1225966195
Nurse Practitioner in Las Vegas, NV

Active since May 11, 2026
2350 S JONES BLVD STE E5, LAS VEGAS, NV 89146(702) 906-7737 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, May 11, 2026 (2 updates tracked since 2026).

About Nevada Wound Care Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEVADA WOUND CARE CLINIC LLC (NPI 1225966195) is a healthcare organization registered as a nurse practitioner in Las Vegas, Nevada and active in the NPI registry since May 2026. The organization lists Kenny Alejandra Aviles Leon, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225966195
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameNEVADA WOUND CARE CLINIC LLC
Location Address2350 S JONES BLVD STE E5Las Vegas, NV 89146-3103
Mailing Address2350 S Jones Blvd Ste E5Las Vegas, NV 89146-3103 · (323) 714-6108
Organization SubpartNo
Authorized OfficialKenny Alejandra Aviles LeonAdministrator · (323) 714-6108
Enumeration DateMay 11, 2026
Last NPPES UpdateOctober 5, 20262 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1225966195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X
2350 S JONES BLVD STE E5, Las Vegas, NV 89146

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nevada Wound Care Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nevada Wound Care Clinic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1053896118
2675 S JONES BLVD STE 102
Las Vegas, NV 89146
(702) 899-9873
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nevada Wound Care Clinic LLC's NPI number?

The NPI number for Nevada Wound Care Clinic LLC is 1225966195. It was assigned to this organization in the NPPES registry on May 11, 2026.

Where is Nevada Wound Care Clinic LLC located?

Nevada Wound Care Clinic LLC is located at 2350 S Jones Blvd Ste E5, Las Vegas, NV 89146. The listed phone number is (702) 906-7737.

What is Nevada Wound Care Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nevada Wound Care Clinic LLC enrolled in Medicare?

Yes. Nevada Wound Care Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nevada Wound Care Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nevada Wound Care Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nevada Wound Care Clinic LLC was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.